The University of Arizona: Research, Discovery & Innovation
Project Transition Form
Title (If funded, provide exact title of funded project)
Contact information
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Principal Investigator Name | |
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Net ID | |
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UA Email Address | |
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College/Division | |
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Department/ Unit |
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Limited IRB Review | |||
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Where will the data be stored? | |||
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REDCap | □ |
Clinical Data Warehouse |
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Box@UA Health | □ |
Box@UA |
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Password Protected Drive | □ |
Encrypted Drive |
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External Drive (USB, Flash drive) | □ |
Department Drive |
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Cloud Server | □ |
UA Records Management & Archives |
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Departmental Office | □ |
Other – please explain below |
For each of the storage location checked above, discuss the type of data to be stored (including if the data is identifiable), who may have access to the data, and how long the data will be kept.
*NOTE: You are responsible for following University policy and guidelines for proper transmission and storage of Confidential orRegulated Data, including PHI.
Will you be transmitting/receiving any subject data to/from an outside group? □ Yes □ No
Describe steps, if any, to protect the privacy of the subjects throughout their participation in the Human Research (e.g. during the recruitment process, consent process, and/or research procedures).
In which of the following formats will the data be stored? □ Identifiable □ Coded □ De-Identifed
What security controls (e.g. administrative, physical, technical) are in place to make sure data/ specimens are secure?
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Will data/ specimens be kept for future research, including unspecified future research, genetics and/or whole genome sequencing? | □ Yes | □ No |
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Explain________________________________________________________________________ | ||
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Will subjects receive results for any future research? | □ Yes | □ No |
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Will the data /specimens be stored in a repository? | □ Yes | □ No |
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Will the data/specimens be shared with collaborating entities | □ Yes | □ No |
Project Update v Aug 2019